Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Mandibular Third Molar Impaction and Bone Change Distal to the Second Molar: Panoramic Radiography Study

Version 1 : Received: 5 January 2024 / Approved: 8 January 2024 / Online: 8 January 2024 (06:57:31 CET)

A peer-reviewed article of this Preprint also exists.

Ahmed, H.A.; López-López, J.; Egido-Moreno, S.; Llabrés, X.R.; Hameed, M.; Estrugo-Devesa, A. Mandibular Third Molar Impaction and Bone Change Distal to the Second Molar: A Panoramic Radiographic Study. J. Clin. Med. 2024, 13, 906. Ahmed, H.A.; López-López, J.; Egido-Moreno, S.; Llabrés, X.R.; Hameed, M.; Estrugo-Devesa, A. Mandibular Third Molar Impaction and Bone Change Distal to the Second Molar: A Panoramic Radiographic Study. J. Clin. Med. 2024, 13, 906.

Abstract

Mandibular third molar is the most frequently impacted tooth. Mandibular third molar impaction bears consequences on the adjacent mandibular second molar (MSM) like bone loss. It can be identified initially using orthopantomography (OPG). The objective is to compare the changes in the bone level distal to MSM between patients with extracted and non-extracted impacted man-dibular third molars (IMTM) using OPG. In this retrospective case-control study, 160 archived (OPGs) of 80 patients visiting the Dental Hospital of the University of Barcelona (HOUB) were randomly selected. The participants were stratified into two groups. The study group involved measuring the bone level distal to the mandibular second molar before and after the extraction of the IMTM. The control group, on the other hand, had bone levels measured twice within 3–6-month period without the extraction of the IMTM. The mean ages of patients in study and control groups were 35.5 ± 15.45 and 33 ± 16.49, respectively. Study group demonstrated signifi-cant (p < 0.05) bone gain after extraction, whereas control group demonstrated significant bone loss (p < 0.0001) after follow-up. Bone improvements were observed distal to the mandibular second molar after the extraction of the IMTM compared to those in control group.

Keywords

impacted mandibular third molar; bone loss; mandibular second molar; panoramic radiography

Subject

Medicine and Pharmacology, Dentistry and Oral Surgery

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